NHS still needs major changes to achieve required efficiency gains, says chief executive

BMJ 2012; 344 doi: (Published 03 April 2012) Cite this as: BMJ 2012;344:e2499
  1. Matthew Limb
  1. 1London

The NHS went wrong and “lost the plot” because of the way the previous Labour government carried out reforms, the NHS’s chief executive, David Nicholson, has told a conference.

He said that officials implementing changes, such as practice based commissioning and Payment by Results, the system for paying hospitals according to activity, got bogged down in policy details instead of focusing on outcomes.

“We got so excited about the technicalities of how these things work, we forgot the purpose: of making things better for patients,” he said at the spring health and social care conference of the Association of Chief Executives of Voluntary Organisations in London on 30 March.

Nicholson recalled how …

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